Medication Therapy Management (MTM) Overview, Navitus Pharmacy Network Listing - Major Chains. Filling a Prescription at the Pharmacy As a Navitus member, it is easy to fill your prescriptions at one of the pharmacies in our extensive network. Navitus Health Solutions, owned by SSM Health and Costco Wholesale Corporation, serves as a full pass-through pharmacy benefit manager (PBM) and industry alternative to traditional models. Navitus Health Solutions’ mobile app provides you with easy access to your prescription benefits. This coverage includes our mail order pharmacies. Navitus benefits staff will provide the same personal touch as a benefit fair visit from the safety of your own home or office. Working with their Pharmacy Benefit Managers (PBMs) to accomplish both, plan sponsors are beginning to adopt this cost savings mechanism more and more. The Texas Managed Medicaid/CHIP Pharmacy hotline is also available 24/7 at 877.908.6023 for more information. Copyright © 2021 NavitusAll rights reserved. Get your questions answered by a Navitus specialist. A network pharmacy is a pharmacy where beneficiaries obtain prescription drug benefits provided by Navitus MedicareRx (PDP). Complete your attestation thoroughly and in a timely manner to ensure that your pharmacy continues to be part of Navitus’ network. Mail Order Pharmacy Benefits Serve You works with Navitus and provides mail order prescription drugs that can be mailed directly to anywhere in the United States. 1 To create a narrow network, PBMs contract with select pharmacies to secure lower rates. A copayment will apply. You have to be a member to sign in. The Specialist will be responsible for understanding business processes, the supporting data, and performing an array of analyses and report creation that facilitate critical business decision-making processes. Please keep this list as a reference in the event you need prescriptions filled while traveling. This resource is meant to help you keep up-to-date with details about your benefit. Pharmacy Search This plan, Navitus MedicareRx (PDP), is offered by Navitus Health Solutions and underwritten by Dean Health Insurance, Inc., A Federally-Qualified Medicare Contracting Prescription Drug … This plan, Navitus MedicareRx (PDP), ... re here to provide our MedicareRx members with the support and personalized care they need to make the most of their pharmacy benefits. With our Navitus pharmacy portal, pharmacies have convenient access to the most up-to-date information. If you are traveling for less than one month, any Navitus Network Pharmacy can arrange in advance for you to take an extra one-month supply. Use the default (5 miles) or change it to the number of miles you are willing to travel; the locator will suggest only those pharmacies that are within that distance. Agreement means the contractual agreement between Navitus and a Provider, including a chain or pharmacy services administration organization, to provide Covered Products to Members including all addendums, exhibits, and other letters of understanding. Pharmacists are just a click away from a wealth of pharmacy benefit and processing information to assist them in the delivery of quality, cost-effective services. What is the Navitus MedicareRx (PDP) Formulary? ETF invites you to learn more about your Navitus Pharmacy Benefits in advance of the 2021 open enrollment period. To locate a pharmacy near you, use our Pharmacy Locator Tool in the links below: Navitus Pharmacy Search (Please note that by clicking on the links above, you will be leaving the Memorial Hermann website). In most cases, your prescriptions are covered under Navitus MedicareRx (PDP) only if they are filled at a network pharmacy. 2021 Pharmacy Benefit Predictions: What Plan Sponsors Should Watch For [Webinar On-Demand] The Keys to Lowering Your Rx Benefit Costs COVID-19 Vaccine Spotlight: What You Need to Know Strong relationships and open communications with our participating pharmacies translates to world-class service for Navitus members and plan sponsors. Enter your valid NPI number and NCPDP number. This plan, Navitus MedicareRx (PDP), is offered by Navitus Health Solutions and underwritten by Dean Health Insurance, Inc., A Federally-Qualified Medicare Contracting Prescription Drug Plan. In 2019, Navitus’ narrow network saved plan sponsors an average of 3-5% on their annual retail drug spend, with some saving as much as 10%. Get vaccinated at any in-network pharmacy using your pharmacy benefit. Strong relationships and open communications with our participating pharmacies translates to world-class service for Navitus members and plan sponsors. ), click here, or go to Navitus.com and use the login menu to access our pharmacy portal. Please contact Navitus Customer Care toll-free at the number listed on the member’s pharmacy benefit member ID card for any inquiries related to the status of a pharmacy or to find a participating pharmacy near the member. All plan designs require the use of an in-network pharmacy. Or TTY users please call 711. Navitus Pharmacy Network. We appreciate our pharmacy provider relationships, and are dedicated to providing 24/7 Help Desk support and self-service tools designed to facilitate their delivery of excellent patient care. We work very closely with prescribers to deliver the highest quality of patient care. Get access to helpful information so you can make informed decisions about your prescriptions and continue on the path to improved health. Search for a pharmacy by city and state or zip code. Compliance & FWA It is also here to give you useful information about drugs that may have been prescribed to you. The Navitus Network includes access to over 95% of pharmacies in Oregon, plus more than 58,000 pharmacies nationwide. Frequently Asked Questions for Pharmacies. This means you can fill prescriptions almost anywhere, including these local and national drug store chains: We understand that as a health care provider, you play a key role in protecting the health of our members. Remember that attestations are not optional but are a requirement of CMS and your pharmacy contract. With our Navitus pharmacy portal, pharmacies have convenient access to the most up-to-date information. Improving member health and providing convenient access to safe and cost-effective medication is our core operating principle. formulary, pharmacy network, and/or copayments/coinsurance may change on January 1, 2022, and from time to time during the year. Please login to the Pharmacies Portal to access this important information. Pharmacy Network. Contact Navitus at credentialing@navitus.com or 608-298-5776. Pharmacists are just a click away from a wealth of pharmacy benefit and processing information to assist them in the delivery of quality, cost-effective services. For more pharmacy specific information (e.g., network bulletins, pharmacy manual, etc. 340B Pharmacy Services means the comprehensive pharmacy services provided to patients. Improving member health and providing convenient access to safe and cost-effective medication is our core operating principle. This form is required by Navitus to initiate EFT services. The Pharmacy Network Reporting Specialist will play a key role in supporting the analytical operations of the Provider Services department. Ahold *, # Giant Pharmacy *, # Pharmacy Audit Appeal Form; Pricing Research Request Form; Prior Authorization Forms; Texas Delivery Attestation; Resources. We realize the importance of a strong and supportive connection with the prescribers who serve Navitus members and place a high value on these relationships. A formulary is a list of covered drugs selected by Navitus MedicareRx in consultation with a Exclusion/Preclusion Fix; FDR Compliance Guide; Formulary; MAC Program; Network Bulletins; Newsletters; Payer Sheets; Pharmacy Provider Manual; Training. For more information on the Navitus Pharmacy Network, please consult the complete listing on our web site, www.navitus.com. 2021 Pharmacy Benefit Predictions: What Plan Sponsors Should Watch For To kick off the new year, Navitus' CEO, David Fields, shares his industry insights on what plan sponsors should watch for in 2021. Seeing the value of these savings, 25% more clients adopted this network in 2019 over the previous year.1 So, how do plan sponsors know if a narrow network strategy is right for them or not? Navitus Health Solutions, LLC (Navitus) offers electronic payments to Participating Pharmacy (ies) that have entered into agreement by signing a Pharmacy Participation Agreement for participation in our network (s). Enjoy greater convenience at your fingertips through easy registration, simple navigation, and an innovative, user-friendly design. In fact, in 2019 Navitus saw a 25% increase in the number of clients using a narrow network. Copyright © 2021 NavitusAll rights reserved. Pharmacy Portal - Home Navitus believes that effective and efficient communication is the key to ensuring a strong working relationship with our participating pharmacies. Confirm that your pharmacy is in-network at www.navitus.com or by calling Navitus at 866-333-2757. Our pharmacists and clinical experts provide a personalized approach to care, guiding members every step of the way to improve health and quality of life. This plan, Navitus MedicareRx (PDP), is offered by Navitus Health Solutions and underwritten by Dean Health Insurance, Inc., Members may also contact Navitus MedicareRx (PDP) Customer Care to determine if a specific pharmacy is covered, or for more information about the Navitus pharmacy network. Navitus MedicareRx (PDP) Customer Care can be reached toll-free at 866-270-3877. Additional Information Our pharmacy network is constantly growing, and all covered pharmacies may not appear on the network … Visit www.navitus.com for complete instructions on filling prescriptions while traveling, or contact Customer Care toll-free at 1-855-673-6504. This is where you can find information about your pharmacy benefit plan. Our service excellence philosophy drives everything we do to ensure the best possible service. Our full-service specialty pharmacy, Lumicera Health Services, a subsidiary of Navitus, combines high-touch care and clinical support with a stringent cost management model. A list of network pharmacies is available in our secure member portal. Navitus has contracted with pharmacies in Texas to provide pharmacy access to Texas Managed Medicaid STAR/CHIP members. With this you can view a map of the pharmacy location(s).